ICD-10 Coding for Cystitis with Hematuria(N30.01, N30.11)
Complete ICD-10-CM coding and documentation guide for Cystitis with Hematuria. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cystitis with Hematuria
N30-N39Primary Range
Other diseases of the urinary system
This range includes codes for various types of cystitis, including those with hematuria.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N30.01 | Acute cystitis with hematuria | Use when acute cystitis is documented with hematuria confirmed by urinalysis. |
|
| N30.11 | Chronic interstitial cystitis with hematuria | Use for chronic interstitial cystitis with documented hematuria. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for cystitis with hematuria
Essential facts and insights about Cystitis with Hematuria
Primary ICD-10-CM Codes for cystitis with hematuria
Decision Criteria
clinical Criteria
- Presence of hematuria confirmed by urinalysis.
documentation Criteria
- Explicit mention of 'acute cystitis with hematuria' in clinical notes.
Applicable To
- Acute bladder infection with hematuria
Clinical Validation Requirements
- Urinalysis showing RBC >3 HPF
- Symptoms of dysuria, frequency, urgency
Code-Specific Risks
- Misclassification if hematuria is not confirmed by lab tests.
Coding Notes
- Ensure hematuria is directly linked to cystitis and not another condition.
N30.11 - Chronic interstitial cystitis with hematuria
Use for chronic interstitial cystitis with documented hematuria.
Applicable To
- Chronic bladder infection with hematuria
Excludes
- Acute cystitis with hematuria (N30.01)
Clinical Validation Requirements
- Chronic symptoms >6 weeks
- Cystoscopy findings consistent with interstitial cystitis
Coding Notes
Document chronicity and hematuria clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
B96.20Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cystitis with Hematuria to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N30.01.
Impact
Clinical: Leads to incorrect diagnosis and treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Train staff on documentation standards., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies cystitis type and presence of hematuria.
Impact
Audits may focus on confirming hematuria documentation.
Mitigation Strategy
Ensure urinalysis results are included in patient records.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Cystitis with Hematuria, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cystitis with Hematuria
Use these documentation templates to ensure complete and accurate documentation for Cystitis with Hematuria. These templates include all required elements for proper coding and billing.
Acute cystitis with hematuria in primary care
Specialty: Primary CareRequired Elements
- Patient symptoms
- Urinalysis results
- Diagnosis statement
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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